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COVID-19 Contingency Plan Survey
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Agency Name
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Your answer
Agency Account Number
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Your answer
Will you stay open as the threat of COVID-19 escalates?
Yes
No
Other:
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Do you have enough volunteers to continue your scheduled distributions?
Yes
No
Other:
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If you plan on remaining open and will make changes to your operations, please specify below if you will have reduced or extended hours and what changes are being made to your operations.
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